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Unexplained infertility[edit] In the US, up to 20% of infertile couples have unexplained infertility.[61] In these cases abnormalities are likely to be present but not detected by current methods. In some cases, the cause of infertility or subfertility could not be suspected from the history taking and clinical examination. Evaluation of the uterus and fallopian tubes can be performed by hysterosalpingography in women with no risk of obstruction. Epididymal Extravasation Following Vasectomy as a Cause for Failure of Vasectomy Reversal. (PDF, 22 MB)Fertility and Sterility, 1979. IVF/ICSI 38. Controlled ovarian stimulation: - By urinary or recombinant FSH and/or HMG. - Dose depends on age, BMI, presence of PCO and ovarian reserve. - Monitoring of folliculometry by USS and E2. Triggering of ovulation: - By urinary of recombinant HCG, 36 before oocyte retrieval.

Overweight or obesity: This may reduce the chance of conceiving. WHAT'S THE DIFFERENCE BETWEEN PRIMARY AND SECONDARY INFERTILITY? Options include intrauterine insemination (also known as IUI) or IVF with intracytoplasmic sperm injection (also known as ICSI). Ovulation induction in polycystic ovary syndrome [published corrections appear in J Obstet Gynaecol Can. Charting of the menstrual cycle may be done by hand, or with the aid of various fertility monitors. In addition to the alteration of menstrual periods and infertility, chronic anovulation can cause or exacerbate other long term problems, such as hyperandrogenism or osteopenia.

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Renal Transplantation Between Adults and Children. (PDF, 1 MB) Journal of the American Medical Association, 1974. Tubal catheterisation or cannulation: - With proximal tubal obstruction, selective salpingography plus tubal catheterisation, or hysteroscopic tubal cannulation, may be treatment options. Healthcare providers may also conduct a semen analysis to check the number, shape, and movement of sperm.

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Microsurgery of the Male Genitalia for Infertility. (PDF, 8 MB) Chapter 59 from Reconstructive Urologic Surgery, 1994. Additionally, transvaginal ultrasound affords the opportunity for your physician to assess the relative number of available eggs.

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Ejaculatory duct obstruction Complete and partial ejaculatory duct obstruction has been implicated as a cause of 1-5% of patients with male infertility. This elevates the abdominal wall above the internal organs to create a working and viewing space. Sperm counts can fluctuate, so that several samples may be necessary. Fertility treatment with donor eggs is usually done using IVF. Low progesterone levels may lead to early miscarriage. Common symptoms of infertility include the following. Varicocele A varicocele is a swelling of the veins that drain the testicle, which can impact sperm quality. Myth MYTH: If men ejaculate, they are fertile TRUTH: Ejaculation doesn't mean fertility. Effectiveness of the postcoital test: randomised controlled trial. Studies have shown that psychological issues contribute to reducing the sperm quality. The incidence rate of ectopic pregnancy after surgery is in the range of 5%. If a blockage is present, surgery may be necessary.